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The Bureau of Human Services Licensing (BHSL) recently issued updated information on the Plan of Correction (POC) process. Beginning on May 1, 2022, the following will be implemented:

  • A new one page Effective Plan of Correction Guide, which the licensing representative will review and leave behind at each Exit Conference;
  • The availability of staff to schedule a phone consultation for technical assistance prior to the submission of the initial Plan of Correction;
  • One reminder phone call and email for any overdue initial or revised Plans of Correction;
  • Return of unacceptable initial submissions of the Plan of Correction in Sanswrite with specific comments on what is required on the resubmission for the Plan to be accepted;
  • One phone call and email to schedule an appointment to walk through the Plan of Correction process for any unacceptable second submission of Plans of Correction; and
  • The opportunity to request an extension of due dates for initial and revised submissions of Plans of Correction.

These actions have been taken so that providers have every opportunity to submit an acceptable POC and, when possible, avoid a directed POC.

Other changes that BHSL is implementing to address quality, consistency, and timeliness include:

  • Initial POC that are missing information or do not adequately address the violation will not be accepted or directed. If the Plan is missing any of the required information, such as when the corrective action will be implanted or who is responsible, OR the plan is inadequate to correct for the violation, the plan will be returned with comments in Sanswrite, even for minor errors.
  • If a POC has not been received past the due date, BHSL will direct the POC no sooner than three business days after one reminder phone call and email have been made. BHSL may accept the provider’s late submission of a POC if a directed POC has not yet been started.

To request technical assistance at any point in the process or an extension of due dates, providers should contact their licensing supervisor (or licensing representative in the Central region) prior to the POC due date. Additional information on submitting an acceptable POC is also available at Personal Care Home Licensing under “Plans of Correction.”

For additional information, please refer to the Effective POC Guide and the Sample Acceptable Plans of Correction for Personal Care Homes (PCHs) and Assisted Living Residences (ALRs).

Photo by Jakayla Toney on Unsplash

COVID-19 testing is an essential activity that increases safety for congregate care settings as part of a comprehensive mitigation strategy. Two resources are now available for providers and facilities.

Operation Expanded Testing (OpET) is a federal testing resource that may be useful to your organization. Please see the presentation slides for more detailed information. Providers wishing to use OpET as a resource should coordinate directly with Eurofins.

OpET At A Glance

  • No contract is needed for participation in OpET.
  • No charge. OpET is 100% funded through the US Department of Health and Human Services (HHS).
  • No exclusivity. The organization can end testing at any time for any reason.
  • All supplies are sent to testing location two weeks in advance at no charge.
  • All training is supplied at no charge.
  • No charge for courier services; Eurofins will coordinate specimen pickup and supply delivery.
  • No waiting to get another sample. Auto retesting (reflex) if PCR pooled group is found to be positive.
  • No cost rapid testing. When used in conjunction with PCR pooled testing program, antigen testing is available for program options.
  • 24-hour results turnaround (TAT) for PCR testing.
  • Reporting is fully automated and HIPAA compliant using Concentric by Ginkgo.
  • Testing flexibility — facility can determine their own testing frequency, with specific PCR pooled groups of 5–24 samples at a time.
  • Staff can participate in the OpET program.

If you wish to enroll or have questions related to Operation Expanded Testing, please contact Eurofins via email or call 833-742-0862. Questions related to this communication should be directed virtually here.


In addition, due to the recent surge in COVID-19, the Bureau of Human Services Licensing (BHSL) has been receiving a large number of requests for testing support. If your facility needs testing due to an active outbreak or to prepare for an outbreak, please contact the Dept. of Health via email for questions about LTC testing assistance and/or to get access to testing support and resources. You can also complete and submit the “Universal Testing Needs Assessment Form.” If eligible, someone will contact you for scheduling.

If you are a facility requesting additional Abbott BinaxNOW cards, please email with the amount of tests requested and your shipping information. Note that your facility must have a CLIA certification to perform rapid COVID antigen testing to be eligible for the BinaxNOW cards.

Please contact the Dept. of Health for any additional information on testing.

The Bureau of Human Services Licensing (BHSL) is seeking human service provider feedback about the most recent licensing inspection at the facility and for new application submissions within the past 12 months. The surveys are brief and will only take about five minutes to complete. The responses will be reviewed and assessed for improvements to the licensing process. Participation is voluntary and responses will be kept confidential. An aggregate of the survey results will be posted on the Bureau of Human Services Licensing website at least annually.

Information about the surveys and how to access them has been posted to the WHAT’S NEW – Updates to the Website section of the BHSL website here. Additionally, to participate in the online human services Provider Inspection Survey, click here. The online human services Provider Application Submission Survey can be located here.

This mailing was sent from Jacqueline L. Rowe, Director, BHSL. Pease take some time and complete these surveys if they are relevant to you. RCPA has heard many concerns about experiences with the BHSL; this is a great opportunity to share them and advocate for much needed changes.

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The Department of Human Services Bureau of Human Services Licensing (BHSL) has released a draft Regulatory Compliance Guide (RCG) for Chapter 3800, relating to child residential and day treatment facilities. The RCG provides guidance about how the Department of Human Services will interpret and apply the chapter’s regulatory requirements during licensing inspections and investigations.

BHSL is inviting the Rehabilitation and Community Providers Association to work with members to review and comment on this draft guide. Please review the draft document and send your comments, suggestion and recommendations to Connell O’Brien. RCPA will collect provider input and share that information with the leadership of BHSL. Comments are due to RCPA by July 10 for submission to BHSL by July 17. The leadership of BHSL has communicated their clear interest in provider input and plans to take all comments into consideration prior to issuing a final RCG later this summer.